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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410500303
Report Date: 11/21/2022
Date Signed: 11/21/2022 11:17:47 AM


Document Has Been Signed on 11/21/2022 11:17 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:HIGHLANDS CHRISTIAN SCHOOLSFACILITY NUMBER:
410500303
ADMINISTRATOR:CAMACHO, CRYSTALFACILITY TYPE:
850
ADDRESS:1900 MONTEREY DRIVETELEPHONE:
(650) 873-4090
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:300CENSUS: 51DATE:
11/21/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Crystal CamachoTIME COMPLETED:
11:32 AM
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On 11/21/2022, Licensing Program Analyst (LPA), Hanson Leong, made an announced case management visit to the Highlands Christian facility. Crystal Camacho, the director, has requested a visit from the department in order to obtain a temporary outdoor waiver. The LPA was granted entry by the director. The LPA explained the purpose of the visit to the director. Guardian, the department's system for conducting background checks, has confirmed that all the individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPA observed fourteen staff members supervising fifty-one children. Children's capacity and ratio requirements were observed to be in compliance.

Outdoor # 1: The outdoor # 1 area for the toddler children (Ages:18 months to 30 months) measures 900 sq ft allowing for a capacity of 12 children. Entire outdoor area is enclosed with an at least 4 ft high fence. Outdoor area was observed to be clean

Outdoor # 2: The outdoor # 2 area for the preschool children (Ages: 2 years to 5 years) measures 3240 sq ft allowing for a capacity of 43 children. Entire outdoor area is enclosed with an at least 4 ft high fence. Outdoor area was observed to be clean.

LPA observed no outdoor play structures for the children in both Outdoor # 1 and # 2
LPA observed both outdoor # 1 and # 2 are separated by cones and caution tapes.

The following reminders were discussed with the director:
1. No co-mingling of toddler and preschool children
2. .Schedules must be created to comply with the outdoor play waiver
3. The outdoor waiver will not go into effect unless it has been approved by a manager
***See Page 2 for continuation***

SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/21/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: HIGHLANDS CHRISTIAN SCHOOLS
FACILITY NUMBER: 410500303
VISIT DATE: 11/21/2022
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Continued, Page 2
4. After the outdoor play structures have been installed, the facility is not allowed to use them until the department gives their approval to the outdoor play structures.

According to the director, the outdoor play structure won't be finished until the first quarter of 2023 at the earliest.

A copy of this report, and the “Notice of Site Visit,” were given to the director.

A “Notice of Site Visit” must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the Director, Crystal Camacho

SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2